| Td Dental Group Llc | |
|
28410 Crossing Blvd Suit 230 Bonita Springs FL 34135 | |
| (239) 317-8333 | |
| (239) 317-8334 |
| Full Name | Td Dental Group Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 28410 Crossing Blvd, Bonita Springs, Florida |
| Authorized Official Name and Position | Dianelis Blanco (PRESIDENT) |
| Authorized Official Contact | 2393178333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Td Dental Group Llc 28410 Crossing Blvd Suit 230 Bonita Springs FL 34135 Ph: (239) 317-8333 | Td Dental Group Llc 28410 Crossing Blvd Suit 230 Bonita Springs FL 34135 Ph: (239) 317-8333 |
| NPI Number | 1063022051 |
|---|---|
| Provider Enumeration Date | 08/04/2020 |
| Last Update Date | 08/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063022051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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